NPI | 1952733578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE60398954) |
Additional Taxonomies | 122300000X Dentist (Licence: WA DE60398954) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2014-02-11 |